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1699744680
MICHELLE RENEE SMYTH
FORT CARSON, CO
NPI
1699744680
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: KY KY-R2835)
Enumeration Date
2006-03-14
Last Update Date
2007-07-08
Business Address
MR. MICHELLE RENEE SMYTH OT
1650 COCHRANE CIR
FORT CARSON, CO 80913-4603
Phone number: 719-526-7110
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Mailing Address
MR. MICHELLE RENEE SMYTH OT
3114 CAPSTAN WAY
COLORADO SPRINGS, CO 80906-8513
Phone number: 719-641-7346
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